1-Stop tranfusion
2-Replace tubing containing blood, do not flush IV with blood, New tubing primed with Normal Saline.
3-Vital Signs Check.
4-Notify Provider without leaving PT.
5-Verigy Pt ID with Blood Label (To verify the cause was not a blood mismatch).
6-Treat patient
7-Notify Blood lab/bank per hospital protocol/policy.
<h3>What is blood transfusion?</h3>
Blood transfusion is defined as the transfer of blood or blood products from a donor to a recipient after a thorough cross matching of blood from both individuals has been carried out.
Blood transfusion reactions is defined as those reactions that are noticed within 24 hours of blood transfusion which ranges from being mild to a severe adverse effects.
Some of the examples of blood transfusion reactions include the following:
- fever, chills,
- urticaria (hives), and itching.
- respiratory distress, high fever, hypotension (low blood pressure), and red urine (hemoglobinuria).
As a nurse monitoring a patient that is undergoing blood transfusion the following should be carried out in case of blood transfusion reactions:
- Stop tranfusion
- Replace tubing containing blood, do not flush IV with blood, New tubing primed with Normal Saline.
- Vital Signs Check.
- Notify Provider without leaving PT.
- Verigy Pt ID with Blood Label (To verify the cause was not a blood mismatch).
- Treat patient.
- Notify Blood lab/bank per hospital protocol/policy.
Learn more about blood here:
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Complete question;
With a suspected blood transfusion reaction, what would the nurse's immediate priorities be? place the tasks in the order in which the nurse should perform them, from highest priority to least priority. all options must be used.
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- Notify Provider without leaving PT.
- Verigy Pt ID with Blood Label (To verify the cause was not a blood mismatch).
- Vital Signs Check
- Treat patient
- Stop tranfusion.
- Replace tubing containing blood, do not flush IV with blood, New tubing primed with Normal Saline.
- Notify Blood lab/bank per hospital protocol/policy.